Common Contracts
1 similar Business Associate Agreement Addendum contracts
Business Associate Agreement AddendumBusiness Associate Agreement Addendum • September 30th, 2020
Facility’s Name (“Facility”): Zest Northwest Address: 511 Spicy Enchilda Terrace, Vancouver, BC, 88941 Canadia Legal Structure: Other (specify below) check check Owner’s Name: (In the event accreditation is granted, the entity that owns and operates the Facility) aaa Owner’s Main Business Address: bbb Owner’s Representative Name & Title: (Should be the person for day-to-day contact and does not need to be the signee of the Agreement.) ccc, ddd Private (non-governmental) Facility? Yes No Governmental Facility? Yes No Federal Tax ID: 22-2201231
